# PACIFIC CENTRAL COAST HEALTH CENTERS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PACIFIC CENTRAL COAST HEALTH CENTERS
- **Other names:** Bishop Street Specialty Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497392377
- **Legal business name:** PACIFIC CENTRAL COAST HEALTH CENTERS
- **Authorized official:** MATTHEW RICHARDSON (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (805) 739-3108

## Contact information

- **Practice address:** 1551 BISHOP ST STE 230, SAN LUIS OBISPO, CA 93401-4661
- **Practice address phone:** (805) 434-5530
- **Practice address fax:** (805) 786-4220
- **Mailing address:** 1414 E MAIN ST STE 201, SANTA MARIA, CA 93454-4890
- **Mailing address phone:** (805) 739-3890
- **Mailing address fax:** (805) 347-7697

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/10/2019
- **Last updated:** 04/22/2024